Atılgan Dogan, Kölükçü Engin, Fırat Fatih, Kölükçü Vildan
Department of Urology, Faculty of Medicine, Gaziosmanpasa University, Tokat 60100, Turkey.
Department of Urology, Tokat State Hospital, Tokat 60100, Turkey.
Healthcare (Basel). 2020 Jun 1;8(2):150. doi: 10.3390/healthcare8020150.
The elderly population has been increasing significantly in our century. In our study, it was aimed to analyze the treatment results of elderly male patients who underwent holmium laser lithotripsy (HLL) for urethral stones under local anesthesia. We evaluated a total of 31 male patients, aged ≥65 years, diagnosed with urethral stones and treated with HLL under local anesthesia. We noted the demographic data and visual pain scores (VAS) of the patients and the duration of the operation and hospital stay. Our analysis involved both the success rates of the surgical procedure and the complication rates according to the modified Clavien classification. In addition. we determined the patients' preoperative clinical status using the Charlson comorbidity index (CCI). The mean age of the patients was 71.65 ± 8.19 years. Acute urinary retention was the most common complaint (45.2%). Their mean scores were 7.68 ± 2.53 according to CCI. The average operation time was 15.48 ± 5.22 min and the VAS was 2.03 ± 1.08. All patients were stone-free and there was a marked improvement in their symptoms None of them stayed in the hospital for more than one day. We did not observe any Grade 3 or higher complications. In light of the data obtained in our study, we concluded that HLL is an effective and reliable method to treat urethral stones under local anesthesia in elderly male patients.
在我们这个世纪，老年人口一直在显著增加。在我们的研究中，旨在分析在局部麻醉下接受钬激光碎石术（HLL）治疗尿道结石的老年男性患者的治疗结果。我们评估了总共31例年龄≥65岁、被诊断为尿道结石并在局部麻醉下接受HLL治疗的男性患者。我们记录了患者的人口统计学数据、视觉疼痛评分（VAS）、手术时间和住院时间。我们的分析涉及手术成功率和根据改良Clavien分类的并发症发生率。此外，我们使用Charlson合并症指数（CCI）确定患者的术前临床状态。患者的平均年龄为71.65±8.19岁。急性尿潴留是最常见的主诉（45.2%）。根据CCI，他们的平均评分为7.68±2.53。平均手术时间为15.48±5.22分钟，VAS为2.03±1.08。所有患者结石均清除，症状有明显改善。他们中没有一人住院超过一天。我们未观察到任何3级或更高等级的并发症。根据我们研究中获得的数据，我们得出结论，HLL是治疗老年男性患者局部麻醉下尿道结石的一种有效且可靠的方法。
